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==Symptom recognition== *In the [[Canadian Consensus Criteria]], pain is a required criteria for diagnosis. It requires that "there is a significant degree of myalgia. Pain can be experienced in the muscles, and/or joints, and is often widespread and migratory in nature. Often there are significant headaches of new type, pattern or severity."<ref name="canadianconsensus-CCC">{{Citation | last1 = Carruthers | first1 = Bruce M. | authorlink1 = Bruce Carruthers | last2 = Jain | first2 = Anil Kumar | authorlink2 = Anil Kumar Jain | last3 = De Meirleir | first3 = Kenny L. | authorlink3 = Kenny De Meirleir | last4 = Peterson | first4 = Daniel L. | authorlink4 = Daniel Peterson | last5 = Klimas | first5 = Nancy G. | authorlink5 = Nancy Klimas | last6 = Lerner | first6 = A. Martin | authorlink6 = Martin Lerner | last7 = Bested | first7 = Alison C. | authorlink7 = Alison Bested | last8 =Flor-Henry | first8 = Pierre | authorlink8 = Pierre Flor-Henry | last9 = Joshi | first9 = Pradip | authorlink9 = Pradip Joshi | last10 = Powles | first10 = AC Peter | authorlink10 = A C Peter Powles | last11 = Sherkey | first11 = Jeffrey A. | authorlink11 = Jeffrey Sherkey | last12 = van de Sande | first12 = Marjorie I. | authorlink12 = Marjorie van de Sande | title = Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: Clinical Working Case Definition, Diagnostic and Treatment Protocols | journal = Journal of Chronic Fatigue Syndrome | volume = 11 | issue = 2 | pages = 7-115 | date = 2003 | pmid = | doi = 10.1300/J092v11n01_02 | url = http://www.investinme.org/Documents/PDFdocuments/CanadianDefinitionME-CFS.pdf }}</ref><ref>[http://sacfs.asn.au/download/consensus_overview_me_cfs.pdf ''A Clinical Case Definition and Guidelines for Medical Practitioners: An Overview of the Canadian Consensus Document''] (2005).</ref>{{Rp|8}} Pain is an optional neurological criteria in the [[International Consensus Criteria]], with many different types of pain recognized.<ref name="ICC2011primer" /> The older [[Fukuda criteria]] for [[chronic fatigue syndrome]] (1994) recognized [[sore throat]], [[swollen lymph node|tender cervical or axillary lymp nodes]], [[headache]]s and other types of pain but did not require them for diagnosis.<ref name="fukuda1994" /> ===Recording pain=== The primer for the [[International Consensus Criteria]] for [[myalgic encephalomyelitis|ME]] includes a pain chart and the [[visual-analogue pain scale]].<ref name="ICC2011primer" />
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